Cryotherapy Reduces Muscle Spasticity But Does Not Affect Proprioception in Ischemic Stroke A Randomized Sham-Controlled Crossover Study

Autor(es)

Garcia, Luccas Cavalcanti ^[1] ; Alcantara, Carolina Carmona ^[1] ; Santos, Gabriela Lopes ^[1] ; Almeida Moncao, Joao Victor ^[1] ; Russo, Thiago Luiz ^[1]

Afiliação do(s) autor(es)

^[1] Fed Univ Sao Carlos UFSCar, Dept Phys Therapy, Lab Neurol Physiotherapy Res, Sao Carlos, SP - Brazil

• Tipo de documento: Artigo Científico
• Fonte: AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION; v. 98, n. 1, p. 51-57, JAN 2019.
• Citações Web of Science: 1

Resumo

Objective: The aim of the study was to evaluate the immediate effects of cryotherapy (using an ice pack) on ankle joint position sense and the degree of spasticity after chronic hemiparetic stroke. Design: We used a sham-controlled crossover design. Sixteen chronic hemiparetic patients were randomly assigned to two groups: (1) those who received cryotherapy followed by a control intervention 15 days later (cryotherapy group) and (2) those who received the control intervention followed by cryotherapy 15 days later (control intervention group). Ankle joint position sense was measured on the paretic side using a Biodex Multi-joint System 3 dynamometer before and after 20 mins of either application on the calf muscles. Lower absolute error scores were calculated for data analyses and were used to determine joint position sense. The degree of spasticity of the plantar flexor muscles was scored according to the Modified Ashworth Scale. Results: Sixteen patients completed the crossover experiment; however, data analysis was successfully conducted in 15 participants. Cryotherapy reduced the degree of spasticity of the plantar flexor muscles without altering ankle joint position sense. Conclusions: Cryotherapy (using an ice pack) may reduce plantar flexor spasticity without influencing proprioception. (AU)

• Processo FAPESP: 17/13655-6 - Sedentarismo e disfunção arterial em indivíduos pós-acidente vascular cerebral crônico
• Beneficiário: Thiago Luiz de Russo
• Modalidade de apoio: Auxílio à Pesquisa - Regular
• Processo FAPESP: 13/25805-1 - Efeitos imediatos da crioterapia sobre o desempenho neuromuscular da articulação do tornozelo e o padrão da marcha de indivíduos hemiparéticos espásticos crônicos pós-AVC
• Beneficiário: Carolina Carmona de Alcântara
• Modalidade de apoio: Bolsas no Brasil - Doutorado
• Processo FAPESP: 14/25845-6 - Efeitos da bandagem elástica na propriocepção do ombro e no desempenho sensório-motor durante o alcance em indivíduos hemiparéticos crônicos
• Beneficiário: Gabriela Lopes dos Santos
• Modalidade de apoio: Bolsas no Brasil - Doutorado